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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 337:619-627 August 28, 1997 Number 9
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Case 27-1997— A 38-Year-Old Man with the Acquired Immunodeficiency Syndrome and Cavitary Pulmonary Lesions
Stephen L. Boswell, and Mark van Gorder

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Presentation of Case

A 38-year-old man was admitted to the hospital because of increasing dyspnea, chest pain, and an undiagnosed pulmonary process.

One year earlier, the patient had presented with weight loss and thrush, and a diagnosis of the acquired immunodeficiency syndrome (AIDS) had been made. His history included numerous homosexual contacts but no intravenous drug abuse. The CD4+ lymphocyte count was 88 per cubic millimeter. Chest radiographs showed a rounded density, 5 mm in diameter, projecting over the right anterior fifth rib and seen only on the posteroanterior view. A computed tomographic (CT) scan of the chest revealed patchy alveolar disease, predominantly . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Stephen L. Boswell's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References




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